Submit a Maintenance Request – Paramark Real Estate

Resident Name*
Please enter full name
Email*
Property*
Phone Number
Have you or a household member experienced one of the following:*
Check all that apply.
- Tested positive for Covid-19 in the past two weeks.
- Been exposed to anyone that has tested positive for Covid-19 in the past two weeks.
- Awaiting test results for a Covid-19 test.
- Have any current symptoms related to covid 19, such as fever, headaches, temperature, cough, shortness of breath, etc.
- None of the above.
Unit Number
Date
Date Format: MM slash DD slash YYYY
Permission to enter?
- Yes
- No
Do you want to be notified once the situation has been addressed?
- Yes
- No
Issue / problem